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Thursday, September 20, 2018

Your Doctor Is A Dick

As a Pharmacist, I have a job to do.
As a Doctor, you have a job to do.
Collectively, our jobs are about Patient Healthcare.
Everything else is about ego and pride.
CMS requires both of us to work together for the betterment of the patient.
(They're called Outcomes.)
Based on your diagnosis, a treatment is selected.
Maybe you missed something.
Maybe you forgot about the use a class of medication in patients with certain conditions.
Maybe you deemed it not therapeutically appropriate in this patient.
I don't have access to your notes, but I have a diagnosis, a patient history, and am currently speaking with our patient right now.
See, it's my job to make sure that what you write is appropriate.
Is complete.
Is effective.
Is actually correct.
You don't have to follow my suggestion(s) any more than I have to fill your prescriptions.
But you don't have to be a dick.
So here's what I'd send back:

You know what they call the person who graduated last in his class at Med School? Doctor.
Well I'm both a Pharmacist AND a Doctor so what's your superpower?
Care to follow the CMS recommendations now?
Do you need a second opinion?
As a Pharmacist AND a Doctor, I am fully licensed to provide you with one.
Oh, one more thing. If you were such a good doctor, wouldn't you already have known about this recommendation and put your patient on it?

(Yes. As I mentioned earlier, it may not be therapeutically appropriate for this particular patient. Maybe she tried and failed; had reactions; can't afford it. Whatever. As happens all too often with prescribers, they don't like being told what to do. Fortunately I've seen a shift over the last few years and love when all types of prescribers call to discuss treatments with me.)

Reminder: #DontBeADick

Monday, September 17, 2018

More Shot Thoughts

Random Thought Phor The Day. . .
CP: I need your help.
ME: What's up?
Myself: What do you need?
CP: A lead-in to my thought.
Me: What is it?
CP: <whispers to Me and Myself>
ME: Got it. Hey, what types of marketing do companies do for flu shots?
Myself: Let's see, there's TV, radio, internet, mobile apps, print in newspapers, circulars, signs in stores on the windows and counters, buttons on staff members, coupons, banners in front of stores, billboards, digital signs, some random dude dressed like a syringe standing out front jumping up and down.
ME: Oh yeah, the currently-out-of-work Liberty tax guy!
CP: Thanks. I'll take it from here.
Myself: It's your show.
CP: If you are a multi-billion dollar company and you spend millions of dollars on print advertising, digital advertising, TV advertising, multimedia advertising, and you STILL want your staff to ask "You want a flu shot with that", perhaps your marketing isn't worth it.
Save the money, give me more tech help and THAT in itself will generate more flu shots and mo money, mo money, mo money.
ME: Right on! Seriously, at this point, who doesn't know we offer flu shots?
Myself: Or that McDonald's has fries?

People will eventually not notice it thanks to #TheBlindnessOfUbiquity